无骨折脱位型脊髓损伤术后观察

Postoperative observation of spinal cord injury without facture and dislocation

目的：探讨无骨折脱位型脊髓损伤术后疗效及安全性。方法：回顾分析35例接受外科手术的无骨脱位型脊髓损伤患者的临床资料,根据脊髓功能Frankel分级,采用JOA评分标准进行评估。结果：35例无骨折脱位脊髓损伤患者均得到随访8-36个月,平均21个月,术前Frankel分级A级3例,B级10例,C级16例,D级6例。术后分级为A级1例,B级6例,C级10例,D级14例,E级4例。术后JOA平均分较术前平均分增加6.75分,差异有显著性意义（P〈0.05）。结论：对无骨脱位型脊髓损伤患者采用手术治疗可明显提高治愈率,并减少并发症。

Objective：To investigate postoperative efficacy and safety of spinal cord injury without fracture and dislocation. Methods：A retrospective analysis of clinical data of 35 patients with spinal cord injury without fracture and dislocation treated with surgery was done. According to Frankel classification of spinal cord function, JOA scoring criteria was used to access. Results：35 patients with spinal cord injury without fracture and dislocation were followed up for 8-36 months （ mean 21 months） . For the preoperative Frankel grade, 3 cases were grade A, 10 cases were grade B, 16 cases were grade C, and 6 cases were grade D;for the postoperative graded, 1 cases was grade A, 6 cases were grade B, 10 cases were grade C, and 14 cases were grade D, and 4 cases were grade E. The postoperative JOA average score was increased by 6. 75 points, and the difference was statistically significant （P〈0. 05）. Conclusions：The surgical treatments for the patients with spinal cord injury without fracture and dislocation can significantly improve the cure rate and reduce the complications.